| NPI | 1780532572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL WAYNE BUCKHANA Executive Director 209-898-4959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-03-18 |
| Last Update Date | 2026-03-18 |